JOB PURPOSE: The Nurse Practitioner Supervisor (NPS) – Mobile Program will work in collaboration with PACE Physicians, and community primary care physicians (CPCP)to ensure proper oversight and coordination of participant care with the Interdisciplinary Team. The NPS will support the participant’s functional, clinical, and psychosocial needs, with an emphasis on independence and wellness. This role will work as the liaison between the participant, the community physician, nursing homes, and plan staff to develop and implement the plan of care including person-center goal development, communicating changes in participant condition, and facilitating primary care preventative services. JOB RESPONSIBILITIES: + The NPS Regional will be assigned nursing homes, and PACE site where he/she will see all CenterLight’s participants. + Supervises and manages Nurse Practitioners assigned to their location and assists with the oversight of other Diagnostic Treatment Center’s clinical staff as needed. + Complete direct reports annual performance appraisals and collaborate with other DTC Managers providing annual performance feedback of the DTC clinical staff as needed. + In the absence of, or at the direction of, the Medical Director, the NPS will represent or serve as the Medical Director role at their location. + At a minimum, performing annual wellness assessments on all assigned site participants, and ensure reflects an understanding of the complexity and multiple comorbidities of the frail and/or elderly. For participants with higher levels of risk, these assessments will be performed more frequently to appropriately address his/her level of need as described below. + Provides urgent care services to participants and facilitates the provision of same day access. Assesses and manages participants with acute changes in condition in a timely manner. + Assesses participants upon return from the hospital/Emergency Department within 5 days. This includes the reconciliation of medications and treatment plans and coordination with the participant’s CPPCP and IDT members to ensure the timely transition of care follow-up visits. + Reviews patient’s past medical history at least every 6 months and formulates a comprehensive and complete diagnostic list of current and past medical conditions using clinical knowledge and judgment and the findings of his/her assessment. + The NPS is responsible for ensuring that all such documentation is complete and accurate, and specific diagnosis codes will be documented in CL’s clinical platform and as encounter data as required. + Participates in all clinical documentation improvement activities with the goal being an accurate and full capture of the burden of illness of our participants and appropriate risk adjustment. Provide feedback and counseling to DTC and IDT staff regarding their clinical documentation as needed. + Reviews the Participant’s current symptoms, and exacerbation of problems that were previously controlled and identifies active diagnoses and chronic problems or conditions to be used in Care Management and active medical management of treatment and designed interventions. + Co-manages the highest risk subset of participants with the PCPs and communicates findings of assessments to inform Participant’s PCP of potential gaps in care and coordinates with CPCP on a care plan that will address these gaps. + Attends and participates in CL’s Interdisciplinary team (IDT) meetings and represents CPCP when he/she is unavailable to attend or delegates the role to the NP. + Communicates with CL’s IDT team or other CL Plan designees in accordance with CL’s policies and procedures. + Participates in complex care management and educates participants and their families and CL staff on such topics as disease processes, medication adherence, and self-management promotion. + Complies with all HIPPA regulations and maintains security of Protected Health Information. + As any other PACE provider will conduct home visits as needed. + Act as the direct supervisor of the care plan formulation and the proper delivery of it by each discipline for the community PCP participants, the care plan must be tailored to the needs of the individual, and all interventions and outcomes must be followed and supervised by the practitioner. + Supervises the home care services that the CHN arranges/provides for the community PCP participants. + Responsible to ensure that the care coordinated by the CHN is appropriate and deemed for the patient's needs, including but not limited to scheduling, plan of care development, and overseeing the clinical outcomes. + The incumbent will also provide emergency coverage for CL’s PACE center primary care providers as needed. + On-call rotation will be expected as part of the job duties. + Only act within the scope of the individual’s authority to practice. + Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently. + Performs other duties as assigned. Schedule: 8:00AM – 5:00PM Weekly Hours: 40 QUALIFICATIONS: Education: Graduated from a nurse practitioner education program acceptable to NYSED or certified as a nurse practitioner by a national certifying organization acceptable to NYSED. Experience: + Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring. + Minimum of two (2+) years in clinical nursing practice in-home care, care management, or related field required. + Effective oral and written communication and interpersonal skills required. + High-level analytical and research skills. + Ability to manage multiple projects and meet project deadlines. + Basic Computer Skills in Microsoft office. License: + Licensed to practice as a Nurse Practitioner in NY required. + DEA Certification required. + AANP or ANCC Board Certification required. Additional Requirements: + Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function. + Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. + Must have a Medicaid Provider ID and a Medicare Provider ID in good standing. Language: Bilingual preferred. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: + Standing – Duration of up to 6 hours a day. + Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. + Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely and using OSHA guidelines, etc. + Bending/Squatting – Must be able to safely bend or squat to care for patients, use medical supplies, etc. + Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas Position requires the individual to be able to travel, and walk between sites/locations and work areas throughout the day. + Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools (ie. typing, use of medical supplies, equipment, etc.) + Sight/Visual Requirements – Must be able to visually assess patients, read orders type/write documentation, etc. with accuracy. + Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, providers, etc., and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. + Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job. Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company. We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Salary Range (Min-Max):$180,000.00 - $190,000.00